SPARKING INTEREST

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SPARKING INTEREST FOSTERING UNDERSTANDING IN
COMMUNITIES USING PPOR
Presenters Barbara Freeman-Maney, MPH Martha
Garcia
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OBJECTIVES

• To learn strategies to spark the interest and
  mobilize existing community agencies, residents,
  and elected officials to learn more about MCH
  issues impacting the community utilizing the PPOR
  approach
• To learn presentation techniques to convey PPOR
  in an easy-to-understand format so that the
  general population will get it and be able to
  effectively develop community plans based on the
  data

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Sparking Interest

• Tailor the courting to match the existing MCH
  efforts of the community
• South Phoenix Healthy Start Consortium
• Maryvale Community Mobilizer to lead the
  efforts

Build on existing relationships or activities
personal and professional before introducing
PPOR
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Results

• South Phoenix provided structure to an already
  existing infant mortality reduction program (ex.
  Consortium activities)
• Maryvale recruitment of key community leaders
  to the table to learn more about the PPOR
  approach (ex. Town Hall)

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Now that you have a captive audience how do you
help them to understand the numbers?
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Fostering Understanding

• Use visuals to explain infant mortality

• African Americans (Arizona)
• IMR 13.9/1000
• 1000 live births
• 1000 births 13.9 deaths
• 1000 births 13.9 deaths

• African Americans
• (New Jersey)
• IMR 13.5
• 3000 live births
• 1000 births 13.5 deaths
• 1000 births 13.5 deaths
• 1000 births 13.5 deaths
• 3000 births 40.5

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Infant Mortality Rate

• Hispanics (South Phoenix)
• IMR 7.1/1000
• 12,000 live births

• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 1000 births 7.1 deaths
• 12000 births 85.2 deaths

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What does this mean?

• If African American women had the same number of
  births as Hispanics, with an IMR 22/1000, the
  number of deaths would go from 26 to 264!

• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 1000 births 22 deaths
• 12000 births 264 deaths

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Infant Mortality

• Utilizing the Perinatal Periods of Risk Approach

Explain PPOR as an approach, not a program!!!
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PPOR Phase 1Assign Each Death to a Cell
Post neonatal
Fetal
Neonatal
Maternal Health/ Prematurity
500-1499 g
Maternal Care
Newborn Care
Infant Health
1500 g
Use dolls and tell a story, then have audience
decide how that death would be assigned
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Map Connections to Action
Maternal Health/ Prematurity
Preconceptional Health Health Behaviors
Perinatal Care
Prenatal Care Referral System High Risk OB Care
Maternal Care
Perinatal Management Perinatal System
Pediatric Surgery
Newborn Care
Sleep Position Breast-Feeding Injury
Prevention
Infant Health
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Results

• Audience members were able to appropriately
  assign each death and think of potential
  prevention strategies
• Personal testimonies by audience participants
• Members responded with how they finally got it!

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Conclusion

• Keep it simple by building on existing
  relationships and personalizing PPOR with
  presentation props and personal testimonials!